Active NPIIndividual providerSole proprietor

Dean P Licopantis, DPM

Podiatrist in Denville, New Jersey

NPI Number1760478010
Practice location
16 Pocono RD, #209, Denville, NJ 07834-2901
Fax
973-331-7999
Last updated
January 15, 2014

Dean Peter Licopantis is a Podiatrist based in Denville, NJ. Dean Peter Licopantis practices in Denville, NJ and has the professional credentials of DPM. The NPI Number for Dean Peter Licopantis is 1760478010 and holds a License No. 25MD001877 (NJ). The current practice location address for Dean Peter Licopantis is 16 Pocono RD, #209, Denville, NJ 07834-2901 and can be reached out via phone at 973-331-7900 and via fax at 973-331-7999.

Provider Profile Details

NPI Number
1760478010
Provider Name
Dean Peter Licopantis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
16 Pocono RD, #209, Denville, NJ 07834-2901
Phone Number
973-331-7900
Fax Number
973-331-7999
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 22, 2005
Last Update Date
January 15, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Pocono RD
#209
Denville, NJ 07834-2901
Zip
07834-2901
Phone Number
973-331-7900
Fax Number
973-331-7999
Denville, NJ 07834Get directions →

Provider Business Mailing Address Details

Address
16 Pocono RD
#209
Denville, NJ 07834-2901
City
Denville
State
NJ
Zip
07834-2901
Phone Number
973-331-7900
Fax Number
973-331-7999

License Information

License Number
25MD001877
License State
NJ
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dean P Licopantis, DPM?

The NPI number of Dean P Licopantis, DPM is 1760478010. It was assigned on September 22, 2005 and is currently active in the NPPES registry.

What is the specialty of Dean P Licopantis, DPM?

Dean P Licopantis, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD001877.

Where does Dean P Licopantis, DPM practice?

The practice location is 16 Pocono RD, #209, Denville, NJ 07834-2901. The office can be reached at 973-331-7900 (phone) or 973-331-7999 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760478010 directly on the NPPES registry website.

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